Source:http://linkedlifedata.com/resource/pubmed/id/17054672
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
2006-11-19
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pubmed:abstractText |
Acute lymphoblastic leukaemia in children with Down syndrome (ALL-DS) is characterised by unique clinical and biological features. Notable among these are an absence of ALL in DS patients <1 year of age; a lower incidence of favourable and unfavourable chromosomal translocations; heightened sensitivity to methotrexate; and an increased propensity to infections. Although children with ALL-DS have historically fared less well than their non-DS counterparts (ALL-NDS), recent data indicate that outcomes in ALL-DS are now comparable with ALL-NDS with risk-adapted therapies, after adjusting for biological differences between the ALL-DS and ALL-NDS populations. Given the increased risk of ALL-DS patients for treatment-related toxicities, further intensification of therapy may not yield continued improvements in survival. Future investigations in the ALL-DS population should focus on maintaining excellent outcomes while reducing treatment-related complications through novel treatment strategies, such as the integration of targeted noncytotoxic agents.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0007-1048
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
135
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
595-602
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:17054672-Antineoplastic Agents,
pubmed-meshheading:17054672-Child,
pubmed-meshheading:17054672-Child, Preschool,
pubmed-meshheading:17054672-Down Syndrome,
pubmed-meshheading:17054672-Humans,
pubmed-meshheading:17054672-Infant,
pubmed-meshheading:17054672-Methotrexate,
pubmed-meshheading:17054672-Precursor Cell Lymphoblastic Leukemia-Lymphoma,
pubmed-meshheading:17054672-Translocation, Genetic,
pubmed-meshheading:17054672-Treatment Outcome
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pubmed:year |
2006
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pubmed:articleTitle |
Down syndrome and acute lymphoblastic leukaemia.
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pubmed:affiliation |
Division of Pediatric Hematology/Oncology, Vanderbilt Children's Hospital and Vanderbilt-Ingram Cancer Center, Nashville, TN 37232, USA. jim.whitlock@vanderbilt.edu
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pubmed:publicationType |
Journal Article,
Review,
Research Support, N.I.H., Extramural
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